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NPI Code Detail

MEDICARE: GREAT CARE HEALTH SERVICES LLC

MEDICARE: GREAT CARE HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1013692797
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREAT CARE HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 435 METROPLEX DR STE 211
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-3109
Country : US
Telephone Number : 161-568-2815
Fax Number :
Provider Business Practice Location Address
First Line : 435 METROPLEX DR STE 211
Second Line :
City : NASHVILLE
State : TN
Zip : 37211-3109
Country : US
Telephone Number : 615-682-8150
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : CLAUDE GATEBUKE
Credential :
Telephone Number : 615-682-8150
Provider Enumeration Date : 06/20/2023
Last Update Date : 07/20/2023

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Directions to “GREAT CARE HEALTH SERVICES LLC ” Practice Location

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